Provider Demographics
NPI:1073855276
Name:RUNKLES, BAILEY C (DO)
Entity Type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:C
Last Name:RUNKLES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:C
Other - Last Name:HARTSWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 S HOUSTON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-9023
Mailing Address - Country:US
Mailing Address - Phone:918-382-3178
Mailing Address - Fax:918-382-6789
Practice Address - Street 1:2422 20TH ST SW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-6201
Practice Address - Country:US
Practice Address - Phone:701-952-4878
Practice Address - Fax:701-952-3265
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND14684207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology